Do you need accident insurance

Accident Insurance: Necessity and Benefits for Your Financial Security 2025

3 Jun 2025

8

Minutes

Katrin Straub

CEO at nextsure

An accident can change your life in an instant and bring significant financial burdens. Find out if and when a private accident insurance is indispensable for you and how you can secure the best coverage.

The topic in brief and concise terms

The statutory accident insurance (GUV) only covers work, school, and commuting accidents; a private accident insurance (PUV) is necessary for most leisure accidents.

A personal accident insurance is particularly important for freelancers, homemakers, pensioners, and children, as well as a supplement if there is no disability insurance.

Important components of a PUV include a high disability sum with progression (at least 350 percent recommended), a good limb schedule, and sensible additional benefits.

Fundamental Protection: Understanding Statutory versus Private

The statutory accident insurance (GUV) primarily covers work-related and commuting accidents for employees and apprentices. It also covers accidents involving children in day-care centres and schools, as well as students at universities. However, over two-thirds of all accidents occur during leisure time, where the GUV often does not provide coverage. Here, a private accident insurance (PUV) fills an important gap and covers financial consequences. A PUV can also provide additional benefits if you become disabled due to a work-related accident. This fundamental distinction is crucial for your financial planning.

Identify risk groups: Who benefits particularly from a PUV?

For self-employed individuals and freelancers, private accident insurance is often essential, as they typically do not have statutory protection. Housewives, househusbands, and retirees should also consider a private accident insurance (PUV) due to significant gaps in their coverage. For children, a special children's accident insurance can be beneficial, as statutory accident insurance (GUV) covers only around 26 percent of children's accidents. People with dangerous hobbies, such as extreme sports enthusiasts, carry an above-average accident risk of often more than 15 percent per year. If occupational disability insurance cannot be taken out, the PUV offers an important alternative to cover the financial consequences of a disability. An analysis of your personal situation highlights the individual need.

Analyse of scope of services: What does private accident insurance specifically cover?

The principal benefit of private accident insurance is the disability benefit, a lump sum payment for permanent injury consequences. The amount of this payment depends on the agreed insurance sum and the progression rate. A progression rate of 350 percent, for example, can increase the benefit for full disability to 3.5 times the basic sum. The table below illustrates this:

  • At 20 percent disability: 20 percent of the basic sum (at 350 percent progression)

  • At 50 percent disability: 100 percent of the basic sum (at 350 percent progression)

  • At 100 percent disability: 350 percent of the basic sum (at 350 percent progression)

The limb scale determines the degree of disability for individual body parts; the loss of an arm can, for instance, be rated at 70 percent. Good policies often offer an enhanced limb scale that defines higher degrees of disability. Additional benefits such as an accident pension from 50 percent disability, death benefits, or daily hospital allowance can expand the coverage. Recovery costs up to 10,000 euros are also often included. These components allow for bespoke protection.

Understanding Cost Factors: Accurately Assessing PUV Contributions

The cost of private accident insurance varies greatly and depends on several factors. Your age and occupation play a role; more hazardous professions often lead to higher premiums. Dangerous hobbies can also increase premiums by up to 25 per cent. The chosen insurance sum, for example, €100,000, and the progression, about 225 per cent, are significant price drivers. Some insurers waive health questions, simplifying the process but potentially making it more expensive. Basic cover for children is often available from less than ten euros per month. A thorough comparison of different offers is therefore essential.

Address specific needs: Optimise accident protection for children and seniors

Children are particularly at risk of accidents; around 74 percent of their accidents occur in the non-legally insured leisure sector. A children's accident insurance covers this gap and can take on important additional benefits such as rooming-in costs in the hospital or costs for cosmetic operations up to 1,000,000 euros. The statutory accident pension for students is often only about 500 euros per month for a ten-year-old child at 60 percent reduction in earning capacity. Seniors also benefit from a personal accident insurance (PAI), as the risk of accidents increases with age and recovery processes often take longer. Some plans offer special assistance services for seniors, such as transport services or household help. Adapting insurance coverage to the respective stage of life is crucial.

Review contract details: Keep an eye on clauses and exclusions

The devil often lies in the details of insurance conditions. An accident is typically defined as a sudden event affecting the body from the outside, occurring involuntarily. Pay attention to the inclusion of self-movement injuries, such as a ligament tear during sports without external influence. The alcohol clause regulates benefits for accidents under the influence of alcohol; good policies also provide coverage at higher blood alcohol levels. The involvement of pre-existing conditions can lead to benefit reductions if they contributed at least 25 percent to the damage. Deadlines are also important: Claims often need to be medically assessed and made within 15 to 18 months. Our expert tip: Choose policies with high progression of at least 350 percent and a compensation scale that offers market-standard or better values. Careful scrutiny before signing up protects you from nasty surprises.

Take advantage of tax aspects: Claim contributions to accident insurance

Contributions to private accident insurance can be tax-deductible under certain conditions. They count as other precautionary expenses and are entered on the Precautionary Expenses section of the tax return (lines 46-50). For employees and civil servants, there is a maximum amount for precautionary expenses of €1,900 annually, for self-employed individuals €2,800. This maximum amount is often already used up by health and care insurance contributions. If the contract covers occupational risks, the contributions can partially be claimed as work-related expenses (employees) or business expenses (self-employed). The disability benefits from a private accident insurance are generally tax-free. An accident pension, however, must be taxed on the income portion. Our expert tip: Keep proof of contributions for at least ten years, as the tax office may request them. A careful examination of your tax situation can be worthwhile.

Focus on Jurisprudence: Current Judgments and Their Impact


FAQ

Do I still need accident insurance despite having disability insurance?

An accident insurance policy can be beneficial alongside an occupational disability insurance (ODI). The ODI provides a pension in case of occupational disability due to illness or accident. The accident insurance pays a lump sum for disability caused by an accident, regardless of employability. It can help cover one-off costs (e.g. renovation measures).

What is meant by the term 'Gliedertaxe'?

The dismemberment table is a chart within the insurance policy that specifies the degree of disability (in percentages) recognized in the event of loss or complete dysfunction of certain body parts or sensory organs. For example, the loss of an arm may be assessed at 70 percent.

What does progression mean in accident insurance?

Progression means that the insurance benefits increase disproportionately for severe degrees of disability. With a progression of 350 percent, you receive 3.5 times the agreed basic insurance sum in the case of total disability (100 percent degree of disability).

Are the contributions to accident insurance tax-deductible?

Yes, contributions to private accident insurance can be declared as other precautionary expenses in the tax return, up to the statutory maximum amounts (€1,900 for employees, €2,800 for self-employed individuals). However, these maximum amounts are often already exhausted by health and long-term care insurance contributions.

Does the accident insurance also provide coverage abroad?

A private accident insurance generally offers worldwide protection, around the clock. This applies to accidents both domestically and while traveling abroad, unless otherwise regulated by contract.

What deadlines must I consider after an accident?

After an accident, you usually have to have your claims for disability benefits medically assessed and submitted to the insurer within a certain period (often 15 to 18 months). The specific deadlines are outlined in your insurance contract.

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nextsure – Your digital platform for health and protection insurance. Transparent comparisons, easy online sign-up, and personal expert support make it possible.

nextsure – Your digital platform for health and protection insurance. Transparent comparisons, easy online sign-up, and personal expert support make it possible.

nextsure – Your digital platform for health and protection insurance. Transparent comparisons, easy online sign-up, and personal expert support make it possible.